Comparison on ultrasound-guided stellate ganglion block and paravertebral nerve block for treating herpes zoster neuralgia in upper thoracic segment
10.13929/j.issn.1672-8475.2025.09.003
- VernacularTitle:比较超声引导下星状神经节阻滞与椎旁神经阻滞治疗胸上段带状疱疹神经痛
- Author:
Xiaoting LIU
1
;
Xiangang KONG
;
Chengwen LI
Author Information
1. 微山县第二人民医院疼痛科,山东 济宁 272193
- Publication Type:Journal Article
- Keywords:
neuralgia,postherpetic;
thorax;
nerve block;
ultrasonography,interventional
- From:
Chinese Journal of Interventional Imaging and Therapy
2025;22(9):570-573
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the effectiveness of ultrasound-guided stellate ganglion block(SGB)and paraveterbral nerve block(PVNB)for treating herpes zoster neuralgia in upper thoracic segment.Methods Ninety patients with herpes zoster neuralgia in upper thoracic segment who underwent nerve block treatments were retrospectively enrolled and divided into SGB group(n=43)and PVNB group(n=47)according to the therapeutic method,and the patients were followed-up till 1 month after the last time treatment.Treatment-related complications and whether other related treatments had been performed were recorded.Taken global impression of change(GIC)scores of 1-2 at 1 week after the last time treatment(T3)as clinically effective,the numerical rating scale(NRS)pain scores and allodynia before the first treatment(T0),1 week after the first treatment(T1),1 week after the second treatment(T2)and T3,as well as patients'GIC scores at T1,T2 and T3 were observed and compared between groups.Results After treatments,upper limb numbness and dizziness occurred in 2 and 9 cases in SGB group,respectively,also in 1 and 3 cases in PVNB group,respectively.The incidence of dizziness in SGB group was higher than that in PVNB group(20.93%[9/43]vs.6.38%[3/47],χ2=4.112,P=0.043).During follow-up period,18 cases(18/43,41.86%)in SGB group and 5 cases(5/47,10.64%)in PVNB group underwent other related treatments,and significant difference was found between groups(χ2=11.506,P=0.001).NRS pain scores,the incidence of allodynia and GIC scores at T1,T2 and T3 in SGB group were all higher than those in PVNB group(all P＜0.05),while clinically effective rate in SGB group was lower than that in PVNB group(53.49%[23/43]vs.91.49%[43/47],χ2=16.582,P＜0.001).Conclusion The efficacy of ultrasound-guided PVNB for treating herpes zoster neuralgia of upper thoracic segment was superior to that of SGB.
